Running injuries often start with a niggle. Knee pain, muscle strain, tendon pulls, bursitis, ligament sprains and all sorts of other aches and pains are a constant reminder that marathon training and actually running it can be a hazardous business. Many people who enter for the Vitality Brighton Half Marathon will not complete it because of injury. We aim make sure you are not one of them.
For the next few weeks we are offering a free Runners MOT especially aimed at runners in the Vitality Brighton Marathon. We want you to be fit, strong and ready to run in support of the Sussex Beacon.
Our physios will check you out top to bottom concentrating on your footwear and leg and foot movements. We will check all the usual things like over-pronation but also things that often over-looked like jamming of the hinge joint of the ankle which changes stride length. We will look at knees, hips and backs too. At the end of our Runners MOT you will have an in depth risk profile of the likelihood of future running injuries and a plan for prevention. If you are having problems currently then we will give you a plan for the best recovery.
So don’t let a niggle turn into a pain, call to make an appointment.
Effective treatment for sciatica has been hard to prove. There may be many reasons for this but recent research has attempted to analyse all the best studies and combine the results in a so-called meta-analysis. The research team from Bangor University looked at more than 120 studies comparing 21 different treatment strategies. What they found will surprise many doctors and patients alike.
Previous studies have often found little or no significant improvements between various treatment strategies. This understanding combined with the fact that most sciatica gets better over a few months all by itself has meant that usual medical treatment has been to reassure the patient, prescribe pain-killers, and send them on their way. This new study should change that approach.
The researchers from the North Wales Centre for Primary Care Research concluded that for the best overall outcome significant improvements followed disc surgery, epidural injections, nonopioid analgesia, manipulation and acupuncture although disc surgery and epidural injections were associated with some adverse effects. If the only consideration was pain relief then epidural injections helped as did certain anti-inflammatory drugs. The interventions that were shown not be effective were bed rest, certain strong pain killers (opioids like codeine), traction and some surgical procedures like discectomy. Lead researcher Ruth Lewis said ‘The most interesting finding was that opioids are not effective. The lack of effect is probably due to the type of pain you’re dealing with.’
What sciatica treatment should you try first?
The NHS Pathfinder helps identify what treatment is best and when to seek it out. First of all you need a thorough assessment and examination by a competent health care professional such as a GP, of course, but also a chiropractor, physiotherapist or osteopath. This first assessment is important to rule out serious diseases and nasty nerve problems that need more invasive treatment like surgery. Fortunately most sciatica problems respond well without surgery. Manual therapy, like manipulation, as well as acupuncture feature have been shown to be effective.
How you choose to be treated for sciatica will often depend on your personal preferences. Some people hate the idea of acupuncture needles. For others manipulation or drug treatments are not appealing. Fortunately there are many treatment options and usually a combination of the most effective ones should be tried first. This means consulting a practitioner who is happy to work as part of a team to get the best outcome. Here at Sundial we have chiropractors, physiotherapists and acupuncturists who work with the recommendations from your GP. For more information on back and leg pain go here.
Surgery for sciatica is usually only contemplated for patients with severe nerve compression, if symptoms don’t respond to conservative care or carry on getting worse in spite of treatment.
Hard at work? So is your back. New research reveals working causes neck and back pain for people in the South East of England.
As part of the British Chiropractic Association Chiropractic Awareness Week (13 – 19 April) Matthew Bennett from Sundial is urging people to take regular breaks at work to help combat neck and back pain.
The advice comes as new research from the back and spinal care experts finds of those who have suffered from back and neck pain, working is a cause of the pain for almost a third (30%) of people in the South East.
More than half (52%) think that sitting in the same position for long periods at a time has the most negative impact on their back health. Despite recognising the source of pain, almost one in ten (8%) of those who spend the day mainly in one position don’t take regular breaks.
Matthew Bennett from Sundial Clinic in Brighton says “If you work in an office or drive a vehicle for long periods of time, it’s easy to stay seated, rarely taking breaks. Many people are unaware that staying in the same position can place unnecessary strain on their neck and back which can lead to long term pain.”
“Sitting causes up to twice as much pressure on the spine as standing. If your job involves sitting for long periods of time, it’s important that you take regular breaks to relieve the built-up tension in your lower back. Your back is always hard at work – even when you think you’re relaxing – so ensuring you move and stretch regularly will help relieve the extra load through the discs which will prevent long term problems, keeping your back on track.”
In the South East, 41% currently live with neck or back pain – and more than one in five (22%) suffer on a daily basis. So what can we do to combat neck or back pain at work?
Sundial offers the following top tips to help people get through the working day back pain free:
Sit up straight: Relax when sitting into your seat, making sure you have your bottom against the seat back with your shoulder blades touching the back rest of the chair. Keep arms relaxed and close to the body and place on the desk when typing. For drivers; the back of the seat should be set slightly backwards, so that it feels natural and your elbows should be at a comfortable and relaxed angle for driving.
Be computer compatible: Make sure the top of the screen is level with the eyebrows and the chair is titled slightly forward, allowing for the knees to be lower than the hips and the feet to be flat on the floor. Using a laptop or tablet away from a desk will encourage poor posture, so limit time spent in this way.
Take regular breaks: Don’t sit for more than 20-30 minutes at a time – stand up to stretch, change position and walk around a little. If you struggle to get away then take time to gently massage the back of your head and neck as you relax your stomach region with slow easy breathing. This will help to improve posture and reduce back pain by promoting balance, strength and flexibility in the spine.
Drink Up! Try drinking water instead of tea or coffee; it will be healthier and keep your body hydrated.
For more information on how to maintain a healthy posture and help keep neck and back pain at bay, call Sundial Clinics, Brighton, Queens Road 01273 774114 or St James’s Street 01273 696414 for a Free Posture Check.